Assessment of Psychosocial Outcomes in Genetic Counseling Research: An Overview of Available Measurement Scales

The aim of the present paper was to describe and evaluate many of the measurement scales currently used in genetic counseling outcomes research. A team of three researchers reviewed the available literature and selected a variety of validated instruments suitable for measurement of genetic counseling outcomes. There are numerous scales to assess each of the following outcomes among counselees: satisfaction with genetic counseling; knowledge; decision-making; psychological adjustment; coping; perceived personal control; perceptions of disease risk; and family communication about genetic risk. However, the strengths and limitations inherent to each instrument warrant careful consideration prior to implementation. In the genetic counseling context, scale selection should be undertaken with thought directed towards the characteristics of the research sample (e.g. levels of literacy, culture, medical condition), the practicalities of the research setting (e.g. available funding and resources, time restrictions, researcher expertise), the purpose of the research (i.e. the specific aspect of the genetic counseling experience to be studied), and the science underlying the scale (e.g. theoretical framework, psychometric properties).     

Genomic Counseling: Next Generation Counseling

Personalized medicine continues to expand with the development and increasing use of genome-based testing. While these advances present new opportunities for diagnosis and risk assessment, they also present challenges to clinical delivery. Genetic counselors will play an important role in ushering in this new era of testing; however, it will warrant a shift from traditional genetic counseling to “genomic counseling.” This shift will be marked by a move from reactive genetic testing for diagnosis of primarily single-gene diseases to proactive genome-based testing for multiple complex diseases for the purpose of disease prevention. It will also require discussion of risk information for a number of diseases, some of which may have low relative risks or weak associations, and thus, may not substantially impact clinical care. Additionally, genomic counselors will expand their roles, particularly in the area of health promotion to reduce disease risk. This additional role will require a style of counseling that is more directive than traditional counseling and require greater knowledge about risk reducing behaviors and disease screening.     

Addictions Counseling Certification: An Emerging Counseling Specialty

This article summarizes the national standards for addictions counseling of 4 different professional groups or boards. The new addictions specialty certification standards that are being developed jointly by the National Board for Certified Counselors and the International Association of Addictions and Offender Counselors (a division of the American Counseling Association) are compared with the standards of 3 other groups.     

Adventure Based Counseling: An Innovation in Counseling

Increasingly, Adventure Based Counseling (ABC) is recognized as providing a significant means to help clients. This article describes the outdoor and indoor adventure experience and its relationship to counseling. A conceptual framework of ABC has been developed to provide a better understanding of the process and potential benefits of this approach and to serve as a model for researchers. Counseling theories, educational theories, setting, programming, processing, and transferring client gains to real life are explained as well as the potential psychological, educational, sociological, physical, and spiritual benefits of ABC.     

Sports Counseling: A New Counseling Specialty Area

This article provides background information about sports counseling for student-athletes. A proposal for a Council for Accreditation of Counseling and Related Educational Programs specialty training area for sports counseling is presented.     

Developmental Relational Counseling: Applications for Counseling Men

Developmental relational counseling (DRC) is a conceptual model designed to help people gain a deeper awareness of their relational functioning. DRC is informed by relational‐cultural theory and influenced by the Enneagram personality typology and cognitive and narrative theories. This article outlines the DRC model in counseling practice with men. Men involved in counseling services may use this approach to expand their personal awareness and promote mutual understanding in their relationships.     

心理咨询新模式:聚焦于问题解决的短期咨询

“聚焦于问题解决的短期咨询”是一种新兴的心理咨询模式,它因其正向思考、省时省力等优点迅速在世界范围内崛起,并被广泛应用在不同的咨询情境中。文章在对聚焦于问题解决的短期咨询简介的基础上,介绍了其产生背景,指出了该模式的应用领域,并对其作了简要评价。     

Counseling for Dropout Prevention: Applications From Multicultural Counseling

Although high school dropout rates have declined over the past several years, rates remain high for many segments of our population. Most of the attention devoted to dropout prevention counseling has focused on group counseling or programmatic issues, whereas individual counseling has largely been ignored. This article draws on commonalities between multicultural counseling and dropout prevention to produce a general framework for individual counseling with students who have potential to drop out of high school.     

Marriage Counseling: A Christian Approach to Counseling Couples

An approach to marriage counseling aimed at Christian couples is described. The theoretical bases of the approach are cognitive behavioral therapy and structural and strategic marital therapies. Techniques are drawn from various schools of marriage therapy. Shared Christian values between counselor and clients are used to promote increased marital commitment, marital satisfaction, and personal spiritual growth. Marital satisfaction might be increased through helping the couple increase their intimacy, enhance their communication, improve their conflict management, and forgive each other for past and present hurts.     

Motivational Counseling: Implications for Counseling Male Juvenile Sex Offenders

Juvenile sex offenders (JSOs) often appear unmotivated to change, which thus necessitates a therapeutic approach that matches “resistant” client characteristics. In this article, the authors review common traits of JSOs, introduce motivational counseling as an effective treatment modality, and offer a case illustration.     

The Counseling Profession's Response to Sex-Biased Counseling: An Update

Moore and Strickler summarize recent literature on sex bias in the counseling profession and challenge counselor educators to place increased emphasis in their training programs on sex equity.     

The Counseling Profession's Commitment to Diversity-Sensitive Counseling: A Critical Reassessment

The authors pose questions in this article that are intended to stimulate more effective strategies to ensure gender, racial, and ethnic diversity in the counseling profession. The first question addresses the implications of between-group versus within-group differences for the counseling process. The second question examines the need to expand the dialogue across all minorities. The third question asks who should conduct multicultural research. Various constituencies, including clients, practitioners, counselor educators, scholars, and researchers are affected. Inconsistencies are noted between the strategies now being used to achieve diversity and the philosophical foundations of the counseling profession itself. Seven recommendations are made.     

Counseling Without Truth: Toward a Neopragmatic Foundation for Counseling Practice

The author presents an overview of contemporary developments in philosophy regarding the status of truth and discusses the implications of these ideas for the practice of counseling. Counseling without truth is presented as a desirable option when a neopragmatic frame of reference is adopted.     

BRCA1 Testing: Genetic Counseling Protocol Development and Counseling Issues

This article discusses the genetic counseling protocols which were developed and counseling issues that have arisen in the first 2 years of evaluating a large kindred with a BRCA1 mutation. The rationale for the development of the genetic counseling protocols and specific genetic counseling visual aids are presented and discussed. The protocols and counseling aids can serve as models for other programs offering cancer susceptibility testing. The observations of study counselors about study subject concerns and responses to genetic testing at the time of the pretest and posttest counseling sessions are presented.     

Continuum of Counseling Goals: A Framework for Differentiating Counseling Strategies

Counseling process goals are presented in a developmental continuum similar in concept to Maslow's hierarchy of needs with implications for counseling practice.     

Counseling: A conversion experience

In this article, the experience of conversion, which is usually delegated to the realm of spiritual studies, is applied to the counseling experience. It is posited that a person who goes through a successful counseling process will experience a turning around, will cease leading life in a dysfunctional way, and will move forward in a manner by which the person experiences life in a new perspective. This new perspective brings the person wholeness and balance.